APPLICATION FOR UNDERGRADUATE ADMISSION

Transcription

1 APPLICATION FOR UNDERGRADUATE ADMISSION Burbank Campus 7500 Glenoaks Boulevard Burbank, CA San Diego Campus 2212 Main Street San Diego, CA woodbury.edu Call toll free San Diego or fax us Burbank San Diego PERSONAL DATA (please print clearly) Mr. Mrs. Ms. Miss MAILING ADDRESS (where you want your admission decision sent) First Name Middle Initial Last Name Preferred, Maiden or Previous Name (if applicable) City State Zip Social Security Number (U.S. students only) Birth Date (mm/dd/yyyy) Country Day Phone Permanent Evening Phone Line 2 City State Zip (Postal) Code Country of citizenship Country of birth If not a U.S. citizen, are you a U.S. green card holder? Country Day Phone Mobile or Cell FOR INTERNATIONAL STUDENTS ONLY Home Phone Are you applying from outside the USA? If yes, what country are you applying from? (print clearly) Have you previously applied to Woodbury University? If yes, when did you apply? Do you plan to live in an on-campus university residence hall (Woodbury dormitory)? OPTIONAL PERSONAL DATA Gender Male Female Marital Status Single Married Ethnicity African American White n-hispanic Hispanic Latino Asian Pacific Islander American Indian Alaskan Native Other If applicable, will your spouse and/or children accompany you to the U.S.? If yes, you must provide copies of their passport name page, marriage certificate in English, and Birth Certificate(s) in English. Are you currently residing in the USA? If yes, please answer the following questions: What is your current visa immigration status? Circle one F1 F2 J1 J2 H1B H4 B1 B2 Other (specify) Do you wish to change your current immigration status to the F-1 student status? Name of U.S. institution you are currently authorized to attend by U.S. immigration (if applicable) Primary language spoken at home FOR VETERAN STUDENTS ONLY Are you serving in the active-duty military? Are you applying through an educational consultant or organization? If yes, please provide the exact name of the consultant and/or organization and contact information in the following fields: Are you serving in the National Guard or an active reserve? Are you the spouse of someone currently in active-duty military, National Guard, or an active reserve? Agency/Consultancy Name Country Agency/Consultancy Phone Number Are you a veteran or retiree from military service? Agency/Consultancy Address

2 MAJORS YOUR INTENDED MAJOR (check only one): Burbank Campus: Accounting Game Art & Design Politics & History Animation Graphic Design Psychology Architecture Communications Interdisciplinary Studies Interior Architecture San Diego Campus: Architecture Fashion Design Management Fashion Marketing Marketing Filmmaking Media Technology Briefly describe why you have chosen the major indicated above: Please list other colleges to which you will apply or have applied: Have you spoken with a Woodbury representative? If yes, who, when and where? How did you first learn of Woodbury University? ACADEMIC PLANS (mandatory) I wish to be considered for Fall Spring Summer 20 I am applying as a Freshman Transfer n-degree Student TELP (Transition English Language Program) I plan to enroll Part-time Full-time I am applying to Woodbury s Burbank campus San Diego Campus (Architecture program only)

3 ACADEMIC PROFILES GRADE POINT AVERAGE out of based on (00 scale/unweighted) Class Rank Class Size Semesters ADVANCED PLACEMENT TESTS SAT I The section below is to be completed by first-time freshman or transfer applicants with fewer than 24 semester units or 36 quarter hours. Subject Score Critical Reading Math Subject Score Subject Score Critical Reading Math ACT TOEFL (international students only) English Math Reading TOEFL Total Score I am registered to take the TOEFL IELTS (international students only) Science Reasoning Composite English Math Reading IELTS Composite Score I am registered to take the IELTS Science Reasoning Composite I am registered to take SAT I ACT Beginning with your current institution, list your high school (senior secondary school) and any post-secondary, college or university you ve attended. INSTITUTION LOCATION DATES OF ATTENDANCE DIPLOMA YEAR Please list the courses you are currently taking: Term If schooling has not been continuous, please explain. Do you plan to transfer credits (academic courses) from a previous college or university? If yes, please enter the name of the institution FOR INTERNATIONAL STUDENTS ONLY What is your native language? How many years have you studied English? What is the language of instruction at your current educational institution?

4 ACADEMIC PROFILES Please list your school, college, or community activities. ACTIVITY POSITION SCHOOL COLLEGE ORGANIZATION PERSONAL STATEMENT TOPICS (optional - Choose one of the three following topics.) Name a difficult and/or challenging experience you have faced in your life. Discuss how it has helped make you the person you are today. Why have you chosen your major? Why is Woodbury University a good college choice for you? Indicate a person who has had a significant influence on you, and describe that influence. EMPLOYMENT BACKGROUND (if applicable) Beginning with your current job, list your work experience over the past four years. (If it is more convenient, you may attach a résumé.) POSITION TITLE COMPANY HOURS WK EMPLOYMENT DATES PARENT LEGAL GUARDIAN SPOUSAL DATA Name Relationship Name Relationship City State/Country Zip City State/Country Zip Phone Phone Occupation Name of Employer Occupation Name of Employer Highest Level of Education Highest Level of Education Elementary Some High School High School Diploma Some College Professional Bachelor s Master s Doctorate (Ph.D.) Elementary Some High School High School Diploma Some College Professional Bachelor s Master s Doctorate (Ph.D.)

5 FAMILY DATA Please list any relatives who currently attend or have attended Woodbury University. NAME RELATIONSHIP YEAR GRADUATED SIGNATURE I certify that all of the information in this application and the documents submitted to complete my admission application to Woodbury University are true and correct, and that all institutions I have attended are listed. I also understand that my admission is subject to verification of graduation from secondary school and is contingent upon satisfactory completion of all current course work prior to enrollment. Signature Date DISCIPLINE & SCHOOL INTERRUPTION Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the International equivalent) forward, whether related to academic misconduct or behavioral misconduct that resulted in a disciplinary action? EDUCATION INTERRUPTION Have you ever been found guilty or convicted of a misdemeanor, felony, or other crime? If yes, explain. Did you receive an (if applicable) Other Than Honorable Discharge Bad Conduct Discharge Dishonorable Discharge woodbury.edu Burbank Campus 7500 Glenoaks Blvd. Burbank, CA San Diego Campus 2212 Main Street San Diego, CA